taking care wsd

TAKING CARE WSD

1. Perform patient preparation
1.1. Greetings therapeutic delivered to the client / family friendly upon meeting
1.2. Action plan described to the client / family understand
1.3. Plan validated program back
1.4. The need for tools and materials are identified
1.5. Readiness client be re-examined
2. Preparation tools and environments
2.1. Prepare environment that supports the implementation of maintenance actions
2.2. Instrument prepared, including:
  -Suction machine
- Bottle replacement
- NaCI/H20
- Artery Clamps
- Plaster
- Scissors plaster
3. action procedures
3.1. hand washing
3.2. Explain the procedure and purpose WSD installation
3.3. Connecting the drain hose to the hose from the pleural cavity in flasks immersed in NaCl
3.4. Connect hoses were fixed with plaster so well, the hose must be submerged in water less than 2.5 cm. Shorter hose open to the outside air
3.5. Mark on the bottle, the amount of NaCl that is on the bottle (makes it easy to monitor the addition of fluid / blood from the pleural cavity)
3.6. Recorded each hour the amount of fluid that comes out. Hoses should not be folded. Position client changed periodically
3.7. Exercise regularly performed on the hands and arms in the diseased lung
3.8. Observations of increased RR
3.9. Monitor and record the number, color, character drainage every 2 hours to 4 hours; report flow exceeding 100 ml / h at doctor

3.10. Check the chest tube and the area around 2 hours to 4 hours to find crepitus and air leakage
3.11. Asking clients breathing deeply and coughing regularly